Max Rady College of Medicine

Deliverables: Mental Health

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2020


Our Children, Our Future: The Health and Well-being of First Nations Children in Manitoba
Chartier M, Brownell M, Star L, Murdock N, Campbell R, Phillips-Beck W, Meade C, Au W, Schultz J, Bowes JM, Cochrane B
The purpose of this report is to provide a sound baseline measure of how First Nations children are doing in order to determine if children’s lives are improving as a result of the Truth and Reconciliation Commission’s Calls to Action. The present report was requested by the Healthy Child Committee of Cabinet to focus on First Nations children in Manitoba and to provide valuable information on their health and well-being – similar to Child Health Atlas reports previously prepared by Manitoba Centre for Health Policy (MCHP). The research team includes members from MCHP, First Nations Health and Social Secretariat of Manitoba (FNHSSM) and Manitoba First Nations Education Resource Centre (MFNERC). The analyses provide comparisons between First Nations children and all other Manitoba children, comparisons between on and off reserve First Nations, and regional comparisons by Regional Health Authority and by Tribal Council Areas. Large disparities between First Nations children and other Manitoba children were found in birth outcomes, physical health, mental health, health & prevention services, education, social services, justice system involvement and mortality. These results must be understood within the broader historical, social, legal and political context.
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Methamphetamine Use in Manitoba: A Linked Administrative Data Study
Nickel NC, Chartier M, McDonald N, Sarkar J, Dragan R, McCulloch S, Burchill C, Reimer J, Green C, Jones J, Sanguins J
This study identified Manitobans who had their methamphetamine use documented in whole-population, administrative health data for the years 2013 to 2018. This was achieved using the following databases housed within the Manitoba Population Research Data Repository: Hospital Discharge Abstracts, Medical Claims, Emergency Department Information System (EDIS), Winnipeg Fire and Paramedic Service (WFPS), and Diagnostic Services Manitoba (DSM). The study results include demographic and geographic mapping information, prevalence and risk ratios for mental health comorbidities (e.g. mood or anxiety disorders, substance use disorders), and rates of health service use (e.g. fire and paramedic services, physician visits, emergency department visits).
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Type 2 Diabetes in Manitoba
Ruth C, Sellers E, Chartrand C, McLeod L, Prior H, Sirski M, Dragan R, Chen H, McDougall C, Schultz J
This deliverable, undertaken in partnership with The First Nation Health and Social Secretariat of Manitoba provides an analysis of trends in incidence and prevalence of for all types of non-gestational diabetes from the 1985 to 2017 allowing comparison to national and international statistics. Then, using the wealth of data within the Repository, especially the Diabetes Education Resource for Children and Adolescents (DER-CA) clinical database, Manitobans diagnosed with type 2 diabetes mellitus (T2DM) were identified and their outcomes over the last 6 years were described. This includes diabetes control, complications, mortality and health service use including hospitalizations, continuity of primary care and specialist care. Multiple analyses were undertaken to examine whether the care received by Manitobans living with T2DM met current guidelines. There are also a number of special analyses in cohorts of people matched to those without diabetes for childhood onset T2DM, T2DM in pregnancy, and for mental health outcomes in adults. Information is presented for different age groups, by sex, by health region and by Tribal Council Area and results were compared between registered First Nation Manitobans and all other Manitobans.
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2019


The Health Status of and Access to Healthcare by Registered First Nation Peoples in Manitoba
Katz A, Avery Kinew K, Star L, Taylor C, Koseva I, Lavoie J, Burchill C, Urquia M, Basham A, Rajotte L, Ramayanam V, Jarmasz J, Burchill S
This deliverable is the product of a strong and developing relationship between MCHP and the First Nations Health and Social Secretariat of Manitoba. It looks at health and healthcare use patterns of First Nations people living in Manitoba. The analyses provide comparisons between First Nations and all other Manitobans, comparisons between on and off reserve First Nations, and regional comparisons by Regional Health Authority and by Tribal Council Areas. It is the first study to use the Regional Health Survey which includes on-reserve First Nation peoples. The results demonstrate the widening gap between the health of First Nations and all other Manitobans and point to inequities in service provision.
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2018


Mental Illness Among Adult Manitobans
Chartier M, Bolton J, Mota N, MacWilliam L, Ekuma O, Nie Y, McDougall C, Srisakuldee W, McCulloch S
Mental illness is prevalent across Manitoba and Canada. Statistics Canada reports that 20% of Canadians will experience a mental illness in their lifetime. This Manitoba report provides valuable background information on the burden of mental illness in the province and some insight into the longer-term associations between childhood/adolescent mental illness and adverse adult outcomes. Specifically, we examined the diagnostic prevalence of mental illness among adults in Manitoba, as well as the healthcare use and justice system involvement of adults with mental illness. To address the mental health needs of certain populations who may be at higher risk of mental illness, this report presents the prevalence in specific populations of Manitoba. A cohort of Manitobans born in the province was also developed to examine the relationship between childhood/adolescent mental disorders and adverse adult outcomes. The findings of this report will be important for planning services and programs to diagnose and treat mental illness. Coordinating services among government departments, including health, social services, education and justice, will also go a long way towards ensuring better care for Manitobans at risk for and suffering from mental illness. Finally, supporting mental health research is an essential part of understanding what works and what is needed to strengthen mental health services for Manitobans.
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Health and Social Outcomes Associated with High-Risk Alcohol Use
Nickel NC, Bolton J, MacWilliam L, Ekuma O, Prior H, Valdivia J, Leong C, Konrad G, Finlayson G, Nepon J, Singal D, Burchill S, Walld R, Rajotte L, Paille M
Alcohol is enjoyed by many Canadians and has special social and cultural significance in Canadian society. However, over-consumption of alcohol is linked with many, far-reaching harms. Recent data suggest that one in five Canadian drinkers exceed Canada’s low-risk drinking guidelines. This study examined high-risk drinking behaviours and associated outcomes among Manitobans. We used linked data housed in the Manitoba Population Research Data Repository to answer the following questions: (1) How many Manitobans are drinking more alcohol than is recommended by Canada’s low-risk drinking guidelines and has this number changed over time? (2) How many Manitobans have been diagnosed with an Alcohol Use Disorder over the past 20 years? (3) What are the patterns in healthcare utilization, social service use, and interactions with the justice system among individuals with a diagnosed Alcohol Use Disorder? Our analyses suggest several opportunities where supports can be put in place sooner to help Manitobans who are dealing with harmful consequences of high-risk drinking.
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2016


The Mental Health of Manitoba's Children
Chartier M, Brownell M, MacWilliam L, Valdivia J, Nie Y, Ekuma O, Burchill C, Hu M, Rajotte L, Kulbaba C
Canadian studies suggest that 1 in 7 children experience mental disorders at any given time, however less than a third of these children receive the clinical treatment services they require. This project examines the diagnostic prevalence of mental disorders in children according to diagnostic categories such as attention deficit hyperactivity disorder (ADHD), schizophrenia, mood and anxiety disorders and substance use disorder. Use of services for mental disorders, including hospitalizations, physician visits, justice system involvement, and child and family services for those identified with mental disorders are examined, as well as the relationship between mental health and educational outcomes. In addition, the project team is exploring factors that contribute to the development of mental disorders in children. Results from this report will inform ongoing work by the Healthy Child Manitoba Strategy, the Provincial Mental Health Strategy (Rising to the Challenge) and the implementation of a Child and Youth Mental Health Strategy.
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2004


Patterns of Regional Mental Illness Disorder Diagnoses and Service Use in Manitoba: A Population-Based Study
Martens PJ, Fransoo R, McKeen N, The Need to Know Team, Burland E, Jebamani L, Burchill C, De Coster C, Ekuma O, Prior H, Chateau D, Robinson R, Metge C
Mental illness can have a devastating effect on people's lives. It also has a staggering impact on Manitoba's use of hospitals, physicians, home care, nursing homes and pharmaceuticals. This report by MCHP offers RHAs a comprehensive look at mental illness and its demands on their health care services.
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2000


A Description of the Use of Insured Health Care Services by Income Assistance Recipients in the Province of Manitoba: A Pilot Study. Recipients of Income Assistance for Mental Health Disability
Mustard CA, Derksen S, Kozyrskyj A
The primary purpose of this study was to test the feasibility of using anonymized data from the Ministries of Health and Family Services to understand more about the relationship between poverty and health.
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1994


The Utilization of Medical Services for Mental Health Disorders, Manitoba: 1991 - 1992
Tataryn DJ, Mustard CA, Derksen S
A report on the use of mental health care services in Manitoba. Prevalence estimates of mild and severe mental health problems across regions and their relationship to socio-economic status are also examined.
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Manitoba Centre for Health Policy
Community Health Sciences, Max Rady College of Medicine,
Rady Faculty of Health Sciences,
Room 408-727 McDermot Ave.
University of Manitoba
Winnipeg, MB R3E 3P5 Canada

204-789-3819